Ryan'S Place Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

RYAN'S PLACE INC

Practice address

118 S Main St Ste 3
Goshen, IN 46526-3702

Phone

(574) 535-1000

NPI assigned

Aug 1, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lindsy K Diener-Locke, LSW

Title

Program Director

Phone

(574) 535-1000

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1720817109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465270073",
            "telephone_number": "574-535-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S MAIN ST STE 3",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465263702",
            "telephone_number": "574-535-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN'S PLACE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "DIENER-LOCKE",
        "authorized_official_first_name": "LINDSY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "574-535-1000",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Marie Ruisard
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• Carl N Rutt, M.D.
• Consuelo Ruvalcaba Sandoval
• Carol Ryan
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• Adrienne Sailor, BS
• Martin L Saltzman, M.D.
• Destiny Salvador
• Samuel T Judd DDS LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Goshen, IN
• Providers in Goshen, IN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.